Individual
DR. DOMINIC KIMATU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, FNP-BC
Contact information
Practice address
928 RIVERDALE ST, WEST SPRINGFIELD, MA 01089-4620
(413) 733-6490
Mailing address
928 RIVERDALE ST, WEST SPRINGFIELD, MA 01089-4620
(413) 733-6490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2273545
MA
Other
Enumeration date
10/10/2017
Last updated
12/11/2018
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